Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery
One of the major causes of reversible left ventricular (LV) systolic dysfunction is takotsubo cardiomyopathy. It is characterized by angina, dyspnea, electrocardiogram changes (ST segment elevation and T wave changes on chest leads of electrocardiogram), echocardiographic changes (LV dysfunction wit...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| Subjects: | |
| Online Access: | http://www.jiaecho.org/article.asp?issn=2543-1463;year=2021;volume=5;issue=2;spage=169;epage=172;aulast=Jadhav |
| _version_ | 1818651539178258432 |
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| author | Kartik Pandurang Jadhav Pankaj Jariwala Krushna Chandra Mishra Hari Kishan Boorugu |
| author_facet | Kartik Pandurang Jadhav Pankaj Jariwala Krushna Chandra Mishra Hari Kishan Boorugu |
| author_sort | Kartik Pandurang Jadhav |
| collection | DOAJ |
| description | One of the major causes of reversible left ventricular (LV) systolic dysfunction is takotsubo cardiomyopathy. It is characterized by angina, dyspnea, electrocardiogram changes (ST segment elevation and T wave changes on chest leads of electrocardiogram), echocardiographic changes (LV dysfunction with predominant apical involvement), elevation of troponin and brain natriuretic peptide, usually mimicking acute coronary syndrome. Coronary angiogram in such cases is either normal or shows only insignificant coronary disease. Although LV apical involvement is the commonest manifestation, about one-fifth of cases of takotsubo cardiomyopathy have normal apical contractility but severe systolic dysfunction of the basal segments of the left ventricle. We report a case of reverse takotsubo cardiomyopathy developed in a relatively young patient following hip surgery and how three-dimensional and strain echocardiography clearly demonstrated the abnormality and aided the recovery of the patient. |
| first_indexed | 2024-12-17T02:07:43Z |
| format | Article |
| id | doaj.art-a15f522c2d8140888dda3128ef76e64e |
| institution | Directory Open Access Journal |
| issn | 2543-1463 2543-1471 |
| language | English |
| last_indexed | 2024-12-17T02:07:43Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| spelling | doaj.art-a15f522c2d8140888dda3128ef76e64e2022-12-21T22:07:38ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712021-01-015216917210.4103/jiae.jiae_68_20Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip SurgeryKartik Pandurang JadhavPankaj JariwalaKrushna Chandra MishraHari Kishan BooruguOne of the major causes of reversible left ventricular (LV) systolic dysfunction is takotsubo cardiomyopathy. It is characterized by angina, dyspnea, electrocardiogram changes (ST segment elevation and T wave changes on chest leads of electrocardiogram), echocardiographic changes (LV dysfunction with predominant apical involvement), elevation of troponin and brain natriuretic peptide, usually mimicking acute coronary syndrome. Coronary angiogram in such cases is either normal or shows only insignificant coronary disease. Although LV apical involvement is the commonest manifestation, about one-fifth of cases of takotsubo cardiomyopathy have normal apical contractility but severe systolic dysfunction of the basal segments of the left ventricle. We report a case of reverse takotsubo cardiomyopathy developed in a relatively young patient following hip surgery and how three-dimensional and strain echocardiography clearly demonstrated the abnormality and aided the recovery of the patient.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2021;volume=5;issue=2;spage=169;epage=172;aulast=Jadhavadvanced echocardiographybroken-heart syndromereversible ventricular dysfunctionstrain echocardiographystress cardiomyopathytakotsubo cardiomyopathythree-dimensional echocardiography |
| spellingShingle | Kartik Pandurang Jadhav Pankaj Jariwala Krushna Chandra Mishra Hari Kishan Boorugu Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging advanced echocardiography broken-heart syndrome reversible ventricular dysfunction strain echocardiography stress cardiomyopathy takotsubo cardiomyopathy three-dimensional echocardiography |
| title | Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery |
| title_full | Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery |
| title_fullStr | Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery |
| title_full_unstemmed | Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery |
| title_short | Role of Echocardiography in Managing a Rare Case of Reverse Takotsubo Cardiomyopathy Presenting as Cardiogenic Shock after Prolonged Hip Surgery |
| title_sort | role of echocardiography in managing a rare case of reverse takotsubo cardiomyopathy presenting as cardiogenic shock after prolonged hip surgery |
| topic | advanced echocardiography broken-heart syndrome reversible ventricular dysfunction strain echocardiography stress cardiomyopathy takotsubo cardiomyopathy three-dimensional echocardiography |
| url | http://www.jiaecho.org/article.asp?issn=2543-1463;year=2021;volume=5;issue=2;spage=169;epage=172;aulast=Jadhav |
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